Jacquelyn Granda, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JACQUELYN GRANDA, LLC

Practice address

21301 Powerline Rd Ste 304
Boca Raton, FL 33433-2391

Phone

(561) 299-1549

NPI assigned

Sep 12, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacquelyn Michelle Granda

Title

Owner

Phone

(561) 902-8317

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568246400000",
    "number": "1528618501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332391",
            "telephone_number": "561-299-1549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332391",
            "telephone_number": "561-299-1549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELYN GRANDA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-12",
        "last_updated": "2019-09-12",
        "status": "A",
        "authorized_official_last_name": "GRANDA",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-902-8317"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kelly Jacobs, PSY.D.
• Patricia Weiss Jacobs, MD
• Jodi G Jacobson, LCSW DCSW
• Mario Jacomino, MD, MPH
• Jacqueline B Pevny MD PA
• Jillian Jacques
• Yveline Jacques, DNP
• Jade Acupuncture
• Hema Jadoonanan, DO
• Chloe Jafarieh

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.